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Mental health and well-being in later life: report of a regional seminar programme April-May 2004
- Author:
- HEALTH SCOTLAND
- Publisher:
- NHS Health Scotland
- Publication year:
- 2005
- Pagination:
- 28p.
- Place of publication:
- Edinburgh
The mental health and well-being of older people is a much neglected issue. Dementia affects 1 in 20 people over the age of 65, and depression is even more common, affecting up to 1 in 6 in the same age group. Other mental health problems are at least as common among older people as they are among younger people. Older people's mental health often falls 'between two stools' because research, policy and practice frameworks in the UK tend to focus either on older people or on mental health. Age discrimination and the stigma surrounding mental illness act as a 'double whammy' that disadvantages all older people. Gaps are starting to be filled but mental health problems are still too often seen as a 'normal' part of ageing. There is a notable lack of understanding of the wide range of older people's mental health needs and how they may differ from those of younger people. As a result, these needs are not being recognised or met.
Social work in health and mental health: issues, developments, and actions
- Editors:
- HEINONEN Tuula, METTERI Anna, (eds.)
- Publisher:
- Canadian Scholars' Press
- Publication year:
- 2005
- Pagination:
- 429p.
- Place of publication:
- Toronto
This is primarily a book on social work practice, discussing how one might approach a specific health or mental health related problem or issue as a social worker. Health and mental health are conceptualized broadly in this volume. The health and well-being of body and mind are seen as integrally connected, shaped by biological, physical, psychological, material, social, and structural features and determinants. Clients are viewed as active, engaged agents, with strengths and resources from which to draw in meeting everyday challenges and major life crises.
Childhood sexual abuse and psychosomatic symptoms in irritable bowel syndrome
- Author:
- ROSS Colin A.
- Journal article citation:
- Journal of Child Sexual Abuse, 14(1), 2005, pp.27-38.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Irritable bowel syndrome is characterized by chronic gastrointestinal symptoms without a demonstrable physical cause. In a subgroup of patients, irritable bowel syndrome may be part of a cluster of psychosomatic symptoms related to childhood sexual abuse. To investigate this possibility, the Dissociative Disorders Interview Schedule (DDIS), the Dissociative Experiences Scale (DES) and the Symptom Checklist-90 (SCL-90) were administered to 105 subjects with either irritable bowel syndrome, inflammatory bowel disease (Crohn's disease or ulcerative colitis), or other gastrointestinal disorders. The subjects in the three groups did not differ on the DES, the SCL-90 or most sections of the DDIS. However, subjects with irritable bowel syndrome reported much higher rates of childhood sexual abuse and psychosomatic symptoms.
Families and the state: two-way support and responsibilities: an inquiry into the relationship between the state and the family in the upbringing of children
- Author:
- COMMISSION ON FAMILIES AND THE WELLBEING OF CHILDREN
- Publisher:
- Policy Press
- Publication year:
- 2005
- Pagination:
- 108p.
- Place of publication:
- Bristol
An inquiry into the relationship between the state and the family in the upbringing of children from the Commission on Families and the Wellbeing of Children. In examining the dividing line between family autonomy and legitimate state intervention, and the scope of the state's obligations to support families, the Commission has been guided by the Human Rights Act 1998 and the United Nations Convention on the Rights of the Child 1989. Families and the state. This report was published in 2005 following the Commission's inquiry into the relationship between the state and family in the upbringing of children. The report calls for a new ethic of care in public policy to support family relationships and children's wellbeing. It highlights the substantial minorities who are faced with poverty, poor mental health and inequalities in physical health and education. It recommends a framework of universal family services to which all parents and families would be legally entitled, as well as specialist support for families in conflict or with series difficulties that carry greatest risks of harming children's development.
Mental health and social care needs of older people with intellectual disabilities
- Authors:
- STRYDOM Andre, HASSIOTIS Angela, LIVINGSTON Gill
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 18(3), September 2005, pp.229-235.
- Publisher:
- Wiley
In this study all adults with intellectual disabilities (ID) without Down syndrome (DS) aged 65+ living in the London boroughs of Camden and Islington were identified. The Psychiatric Assessment Schedule for Adults with a Developmental Disability (PASADD) checklist was used to detect psychiatric disorder, the Vineland behaviour scale (maladaptive domain) for problem behaviours and the Dementia Questionnaire for persons with Mental Retardation (DMR) to screen for dementia. Carers reported health problems and disability. Needs were measured with the Camberwell Assessment of Need for adults with Intellectual Disabilities (CANDID-S). A total of 23 older people with ID (13 had mild ID and nine more severe ID) and their carers participated in the survey. In which, 74% had one or more psychiatric symptoms; 30% were previously known with a diagnosis of mental illness. One-third of the older people screened positive for dementia. Three quarters of the group had physical health problems, 74% had poor sight, 22% had hearing loss and 30% had mobility problems. Carers rated unmet needs for accommodation (22%), day activities, and eyesight and hearing. The people with ID rated unmet needs to be social relationships (44%), information and physical health. The authors conclude that older people with ID without DS have considerable prevalence of health problems and psychiatric disorders, including symptoms of functional decline and dementia. Such symptoms are often not recognised and further research into their needs is a priority.
Health warnings
- Author:
- SMITH Martin
- Journal article citation:
- Community Care, 16.06.05, 2005, pp.38-39.
- Publisher:
- Reed Business Information
This article explains how the mental and physical health needs of young clients are being addressed in a pioneering scheme in the Waltham Forest youth offending team.
Child and family outcomes of the European Early Promotion Project
- Authors:
- DAVIS Hilton, et al
- Journal article citation:
- International Journal of Mental Health Promotion, 7(1), February 2005, pp.63-81.
- Publisher:
- Taylor and Francis
This paper, part of a special issue on the European Early Promotion Project (EEPP), concerns outcomes for families involved in the Project and presents data collected when the children were between 6-8 and 24 months old. A total of 824 families were recruited from the 5 countries involved. At baseline, differences were found between country samples in extent and type of need (Finnish families having the lowest risk factor rates and Serbia the highest, for example), but recruitment was generally successful in including families from the whole range of need, excluding those with the severest physical and psychiatric problems. Although not randomised, intervention families (receiving the EEPP service) were reasonably matched with comparison families (receiving usual services) on most variables initially, except in Greece, where intervention families were somewhat more at risk. At 24 months, in spite of low intensity of service provision and methodological difficulties likely to reduce effects, there was evidence, particularly in Greece, of differences in outcome favouring the intervention group, who also showed significantly higher levels of satisfaction with the intervention received. It was concluded that the service merits further exploration to assist in understanding promotional and preventative processes.
Health and social services for male-to-female transgender persons of color in San Francisco
- Authors:
- NEMOTO Tooru, OPERARIO Don, KEATLEY Joanne G.
- Journal article citation:
- International Journal of Transgenderism, 8(2/3), 2005, pp.5-19.
- Publisher:
- Routledge
- Place of publication:
- Philadelphia, USA
This article presents findings from an investigation of health needs, service utilization, and perceived barriers to services among male-to-female (MtF) transgenders of color in San Francisco. Focus groups (n = 48) and survey interviews (n = 332) were conducted with convenient samples recruited from the community. Participants reported a range of health and social services needed during the last year, with African-Americans and Latinas showing particularly strong service needs. Rates of utilizing services were high for basic health care but lower for social services, substance abuse treatment, psychological counseling, and gender transition-related medical services. No significant ethnic group differences in health service utilization were found. Qualitative findings evinced the call for transgender-specific programs and advanced provider training on transgender issues such as hormone use, gender transition, HIV/AIDS care and prevention, substance abuse, and mental health problems. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
The course and correlates of mental health care received by young children: descriptive data from a longitudinal urban high-risk sample
- Author:
- THOMPSON Richard
- Journal article citation:
- Children and Youth Services Review, 27(1), January 2005, pp.39-50.
- Publisher:
- Elsevier
As part of a larger longitudinal study, a sample of 269 predominantly low-income and minority caregiver–child dyads were recruited when the children were infants, and received annual interviews from ages 2 to 7. Almost two-thirds of the sample had been reported as maltreated. Over the course of the study, 49.4% of the children were reported by their parents as needing services at some point in time and most of these eventually received services; the probability of needing and receiving services increased with child age. Far fewer children received services for internalizing (6.7%) and life stress (5.6%) problems than for externalizing (22.3%) or other psychosocial problems (23.4%). Maltreatment did not predict receipt of services, nor did most demographic factors. However, girls and African American children had reduced likelihood of receiving services, especially for externalizing problems. Girls were less likely than boys to be perceived as needing mental health treatment, but there was no discrepancy in perceived need between African American and white children. Child gender and ethnicity are associated with parent-identified child mental health needs and with the receipt of mental health services.